Editorial Commentary: Adolescent Patients Undergoing Hip Arthroscopy Require a Considerable Improvement in Postoperative Outcomes Scores to Achieve Substantial Clinical Benefit: The International Hip Outcome Tool-33 Seems Optimal for Measuring Substantial Clinical Benefit In Young, Active Patients.
Editorial Article
Overview
abstract
Arthroscopic treatment of femoroacetabular impingement syndrome in adolescents is increasing, with evidence supporting similarly improved outcomes as in adult populations. Adolescent patients present unique challenges compared with adult counterparts, often with greater demands on their hips and greater baseline functional statuses. Further, elective surgery in adolescents demands long-lasting outcomes for treatment success. There is increased effort in the orthopaedic literature to define improvements in outcomes that are significant to the patient, including minimal clinically important difference, substantial clinical benefit, and patient acceptable symptomatic state. Delineation of these benchmarks in the adolescent population is important for measuring the success of arthroscopic hip surgery as indications are refined. The international Hip Outcome Tool (iHOT)-33 seems optimal for measuring substantial clinical benefit in young, active patients. Finally, the iHOT-12 has been shown to lose little information compared with the iHOT-33 and it is less burdensome for patients.
